Individual
KATHERINE LUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14044 W CAMELBACK RD STE 106, LITCHFIELD PARK, AZ 85340-9416
(623) 738-2182
Mailing address
4426 W CREEDANCE BLVD, GLENDALE, AZ 85310-3921
(714) 684-4493
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011500
AZ
Other
Enumeration date
07/19/2022
Last updated
09/03/2022
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